Active NPI
Mary Ann Willoughby, M.S.L.AC
- Acupuncturist
- Nyc, NY
National Provider Identifier
1548464613
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- 002502
- Practice address
- 250 West 57TH Street
Suite 2128
Nyc, NY 10019 - Phone
- (646) 335-5563
- NPI assigned
- Jun 13, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 002502 | NY | Primary |
Addresses
Primary practice location
250 West 57TH Street
Suite 2128
Nyc, NY 10019
Mailing address
92 Wayne Street
Garden Apt
Jersey City, NJ 07302
Phone (646) 335-5563
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002502 | NY | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1548464613",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "92 WAYNE STREET",
"address_2": "GARDEN APT",
"city": "JERSEY CITY",
"state": "NJ",
"postal_code": "07302",
"telephone_number": "646-335-5563"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 WEST 57TH STREET",
"address_2": "SUITE 2128",
"city": "NYC",
"state": "NY",
"postal_code": "10019",
"telephone_number": "646-335-5563"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLOUGHBY",
"first_name": "MARY ANN",
"name_prefix": "Ms.",
"credential": "M.S.L.AC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "NY",
"license": "002502",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Nyc, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.